MS-DRG 418Surgical

Laparoscopic Cholecystectomy without C.D.E. with CC

Major Diagnostic Category 07·Grouped by procedure·FY 2027

MS-DRG 418 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 1.7363 with a geometric mean length of stay of 3.2 days and an arithmetic mean of 3.8 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

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FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:
1.7363 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.2 days (used for transfer payments)
Average stay:
3.8 days (arithmetic mean)
Post-acute transfer policy:
No (not subject to it)

Same condition, other severity levels

CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.

DRGTitleRelative weightMean stay
417Laparoscopic Cholecystectomy without C.D.E. with MCC2.40144.7 days
418Laparoscopic Cholecystectomy without C.D.E. with CC (this page)1.73633.2 days
419Laparoscopic Cholecystectomy without C.D.E. without CC/MCC1.41082.3 days